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The Influences of Health Insurance on the Contents of Medical Services for Selected Hospitalized Patients (의료보험 실시가 입원환자의 진료내용에 미치는 영향 -한 병원의 정상분만산모와 충수절제술환자를 통한 사례연구-)

  • 박태진;문옥륜
    • Health Policy and Management
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    • v.3 no.2
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    • pp.130-158
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    • 1993
  • This study was written to discover the changes that may exist in the contents of medical services after introduction of health insurance system, and to identify the net-effect of health insurance system on medical services. Uncomplicated nornmal delivery and appendectomy patients were divided into 4 groups, the non-insured in pre-NHI periods(group A), the insured of health insurance for employees in pre-NHI periods(group B), the insured of regional health insurance for city residents in post-NHI periods(group C) and the insured of health insurance for employees in post-NHI periods(group D). The mehtod of matching was applied to control for major demographic differences among these 4 groups of each disease. In pre-NHI period, the medical services and the variation of medical services of the non-insured were compared with those of the insured. The difference between the change of medical services from group A to those of group C, and the change of medical services from group B to those group D is defined as the net-effect of health insurance. The results are as follows. First, in length of stay after delivery or operation, total length of stay, some laboratory examination, amount of several drugs used in appendectomy patients, frequency of sitz bath in delivery patients, there was net-effect of health insurance in increasing direction. Second, length of stay after delivery or operation, total length of stay, some laboratory examination, amount of several drugs used in appendectomy patients and frequency of sitz bath in delivery patients were significantly more in the insured than in the non-insured group in pre-NHI period. Third, the variation of medical services of post-NHI period was not less then those of pre-NHI period. Fourth, antenatal care on which the third party does not pay and the patient pays for all, was diffrerent by socioeconomic and educational level of patients.

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The Effects of Emotion and EEG of People with Mental Illness by Vocational Rehabilitation Program Based on Horticultural Therapy (원예치료 기반 직업재활 프로그램이 정신장애인의 정서 및 뇌파에 미치는 영향)

  • Seol, Ga Ae;Yun, Suk Young;Choi, Byung Jin;Jang, Hyun Hee
    • Journal of the Korean Society of Floral Art and Design
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    • no.43
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    • pp.57-79
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    • 2020
  • The purpose of this study was to investigate the effects of emotion and EEG of people with mental illness by vocational rehabilitation program based on horticultural therapy. The subjects of the study were three people with mental illness who were training in a vocational rehabilitation team at a health center located in G city, Gyeongsangbuk-do. The result of this study, positive affect increased and negative affect decreased. The result of EEG inspection was increased 17.27% on pre test to 21.39% on post test for Theta wave and 39.66% on pre test to 49.02% on post test for Alpha wave in case of subject A. Also Beta wave was decreased 27.53% on pre test to 17.54% on post test. Subject B increased Alpha wave 29.70% on pre to 31.82% on post. Subject C increased Alpha wave 26.30% on pre to 49.42% on post. Beta wave decreased 29.85% on pre to 16.13% on post. Theta wave, when creatively idea or thought occurs, alpha wave when safety and focusing was increased and beta wave when stress, tension and anxiety was decreased. As a result of profits analysis, subject A spent cost a total of 101,700 won for material and achieve profits of 203,400 won by setting a sales price. Therefore, gain the 101,700 won of net revenue. Subject B spent cost a total of 81,000 won for material and achieve profits of 162,000 won by setting a sales price. Therefore, gain the 81,000 won of net revenue. Subject C spent cost a total of 56,200 won for material and achieve profits of 112,400 won by setting a sales price. Therefore, gain the 56,200 won of net revenue.

Development of a Post-Processor for Three-Dimensional Forging Analysis (3차원 단조해석용 후처리기 개발)

  • 정완진;최석우
    • Transactions of Materials Processing
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    • v.12 no.6
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    • pp.542-549
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    • 2003
  • Three-dimensional forging analysis becomes an inevitable tool to make design process more reliable and more producible. In this study, in order to make the investigation for three-dimensional forging analysis more conveniently and accurately, a new post processor was developed. For post-processing of multi-stage forging simulation, efficient data structure was proposed and applied by using STL. New file architecture was developed to handle successive and huge data efficiently, common in three-dimensional forging analysis. Since sectioning and flow tracing plays an important role in the investigation of analysis result, we developed an algorithm suitable for 4-node and 10-node tetrahedron. This flow tracing algorithm can trace and reverse-trace flow through remeshing. Developed program shows good performance and functionality. Especially, a big size problem can be handled easily due to proposed data structure and file architecture.

An Exploration of the Changes in Consumption Expenditure of the Retired Households in South Korea

  • Jun, Sangmin;Kim, So-Yun
    • International Journal of Human Ecology
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    • v.14 no.2
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    • pp.69-78
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    • 2013
  • This study analyzed the changes in household consumption expenditure of retired households using Korean panel data. We compared the pre and post retirement-consumption levels in different consumption categories using panel data. Paired t-test showed that changes in the consumption patterns before and after retirement were not significant except for the households in the third net worth quartile. Analyzing the effect of retirement on the level of household consumption expenditure, this study found that the effect of retirement was not significant in overall, although retirement had a negative effect on the level of consumption expenditure among households in the lowest net worth distribution. Understanding changes in consumption patterns of retiring households provides important information to design social security policies.

Seasonal Variability of Sonic Layer Depth in the Central Arabian Sea

  • Bhaskar, TVS Udaya;Swain, Debadatta;Ravichandran, M
    • Ocean Science Journal
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    • v.43 no.3
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    • pp.147-152
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    • 2008
  • The seasonal variability of sonic layer depth (SLD) in the central Arabian Sea (CAS) (0 to $25^{\circ}N$ and $62-66^{\circ}E$) was studied using the temperature and salinity (T/S) profiles from Argo floats for the years 2002-2006. The atmospheric forcing responsible for the observed changes was explored using the meteorological data from NCEP/NCAR and Quickscat winds. SLD was obtained from sound velocity profiles computed from T/S data. Net heat flux and wind forcing regulated SLD in the CAS. Up-welling and down-welling (Ekman dynamics) associated with the Findlater Jet controlled SLD during the summer monsoon. While in winter monsoon, cooling and convective mixing regulated SLD in the study region. Weak winds, high insolation and positive net heat flux lead to the formation of thin, warm and stratified sonic layer during pre and post summer monsoon periods, respectively.

The Effect of Net Generation′s Fashion Value on the Purchase-Decision Important Factors at Internet Shopping Mall and the Preference for Fashion Design (N세대의 패션가치관이 인터넷쇼핑몰 구매결정 중요도와 패션디자인 선호도에 미치는 영향)

  • 최정선;유태순
    • Journal of the Korean Society of Clothing and Textiles
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    • v.26 no.1
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    • pp.39-49
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    • 2002
  • The purpose of this study was to characterize the effect of Net fashion value regarding to the factors of purchase-decision at internet shopping mall and the preference for fashion design. The subjects for this sample survey, were junior high school and university students who had dwelled at pusan and ulsan in south korea. This study had 824 samples of each aged from 13 to 24 who had purchasing ability of fashion apparels at the interned shopping mal1. The sampling data in this survey was analyzed by frequency analysis, factor analysis, T-test, LSD-test, MANOVA and ANOVA of SPSS WIN package. The results of this study was as follows; 1. It was proved that advertising, pursuit of services and products, pursuit of information were considered first from Net generations fashion value. Next things were perception of danger and pursuit of convenience. It was proved that they considered it important A/S, recall, exchange and post management. 2. It was proved that there was difference at the preference for fashion design of according to Net generations fashion value. Color was considered to be the most important one. 3. Men had higher political value than women and 1318 teenagers had higher fashion value than semi-adult. Under high school educational course Net generation had more theoretical value than above university educational course Net generation did. Also, with the factor of average monthly income, political value was considered to be the most important. People whose monthly expenditure on purchase was above 50,000 won had higher social value than people whose expenditure was under 50,000 won but under 50,000 won had higher political value than above 50,000 won did.

Effects of Ozone on $CO_2$ Assimilation and PSII Function in Two Tobacco Cultivars with Different Sensitivities

  • Yun, Myoung-Hui
    • Journal of Korean Society for Atmospheric Environment
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    • v.22 no.E2
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    • pp.89-98
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    • 2006
  • Two tobacco cultivars (Nicotiana tabacum L.), Bel-B and Bel-W3, tolerant and sensitive to ozone, respectively, were grown in a greenhouse supplied with charcoal filtered air and exposed to 200 ppb ozone for 4 hr. Effects on chlorophyll fluorescence, net photosynthesis, and stomatal conductance are described. Quantum yield was calculated from chlorophyll fluorescence and the initial slope of the assimilation-light curve measured by the gas exchange method. Only the sensitive cultivar, Bel-W3, developed visual injury symptoms on up to 50% of the $5^{th}$ leaf. The maximum net photosynthetic rate of ozone-treated plants was reduced 40% compared to control plants immediately after ozone fumigation in the tolerant cultivar; however, photosynthesis recovered by 24 hr post fumigation and remained at the same level as control plants. On the other hand, ozone exposure reduced maximum net photosynthesis up to 50%, with no recovery, in the sensitive cultivar apparently causing permanent damage to the photosystem. Reductions in apparent quantum efficiency, calculated from the assimilation-light curve, differed between cultivars. Bel-B showed an immediate depression of 14% compared to controls, whereas, Bel-W3 showed a 27% decline. Electron transport rate (ETR), at saturating light intensity, decreased 58% and 80% immediately after ozone treatment in Bel-B and Bel-W3, respectively. Quantum yield decreased 28% and 36% in Bel-B and Bel-W3, respectively. It can be concluded that ozone caused a greater relative decrease in linear electron transport than maximum net photosynthesis, suggesting greater damage to PSII than the carbon reduction cycle.

Performance Improvements through Controling Residual Dispersion Per Span in WDM Transmission Links with Zero Net Residual Dispersion (전체 잉여 분산이 영인 WDM 전송 링크에서 광 중계 거리 당 잉여 분산 제어를 통한 성능 향상)

  • Lee, Seong-Real
    • Journal of Advanced Navigation Technology
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    • v.13 no.5
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    • pp.656-661
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    • 2009
  • High-quality transmission of $24{\times}40$ Gbps WDM signals obtained through controling residual dispersion per span (RDPS) in optical transmission links with zero net residual dispersion (NRD) of inline dispersion management (DM) of optical transmission links is researched. It is confirmed that RDPS values, which is improving system performance, depends on launch power of WDM channels, but optimal RDPS, which can simultaneously improve WDM signals with relative wide launch power ranges, becomes to be 210~230 ps/nm. Also, it is shown that effective launch power range that making eye opening penalty (EOP) of worst channel to below 1 dB is more increased as RDPS is more increased.

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Assessment of the Potential Carbon Credits from Reducing Emissions from Deforestation and Enhancement of Forest Carbon Stock Activities in Developing Countries (개도국의 산림전용으로 인한 온실가스 배출량 감축 및 산림탄소축적 증진 활동의 탄소배출권 잠재력 평가)

  • Bae, Jae Soo;Bae, Ki Kang
    • Journal of Korean Society of Forest Science
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    • v.98 no.3
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    • pp.263-271
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    • 2009
  • This study aims to identify negotiation alternatives related to Post-2012 reducing emissions from deforestation (RED) and enhancement of forest carbon stock (EFCS) activities. It also aims to recommend a negotiation strategy considering environmental integrity and national interest on the basis of estimating reduction potentials of each alternative on the assumption that tradable carbon credits play an important role as positive incentives. In order to estimate greenhouse gas (GHG) reduction potentials and income potential from RED and EFCS activities, 99 countries were selected by the Global Forest Resources Assessment of the Food and Agriculture Organization of the United Nations. A 'baseline and credit' method was applied to estimate RED activities. Gross-net and net-net methods were applied for EFCS activities. According to the results, Brazil, Indonesia, and the Democratic Republic of Congo have more potential to get positive incentives through RED, while China, Chile, and the Republic of Korea have more potential to get positive incentives through EFCS. This study suggests including both RED and EFCS activities in the boundary of policy approaches and endowment of positive incentives to consider GHG reduction potentials in the global scale and equity among developing countries. Making a discount rate application of forest management activities can be also recommended to factor out the effects of human-induced activities by EFCS activities.

In ovo vaccination using Eimeria profilin and Clostridium perfringens NetB proteins in Montanide IMS adjuvant increases protective immunity against experimentally-induced necrotic enteritis

  • Lillehoj, Hyun Soon;Jang, Seung Ik;Panebra, Alfredo;Lillehoj, Erik Peter;Dupuis, Laurent;Arous, Juliette Ben;Lee, Seung Kyoo;Oh, Sung Taek
    • Asian-Australasian Journal of Animal Sciences
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    • v.30 no.10
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    • pp.1478-1485
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    • 2017
  • Objective: The effects of vaccinating 18-day-old chicken embryos with the combination of recombinant Eimeria profilin plus Clostridium perfringens (C. perfringens) NetB proteins mixed in the Montanide IMS adjuvant on the chicken immune response to necrotic enteritis (NE) were investigated using an Eimeria maxima (E. maxima)/C. perfringens co-infection NE disease model that we previously developed. Methods: Eighteen-day-old broiler embryos were injected with $100{\mu}L$ of phosphate-buffered saline, profilin, profilin plus necrotic enteritis B-like (NetB), profilin plus NetB/Montanide adjuvant (IMS 106), and profilin plus Net-B/Montanide adjuvant (IMS 101). After post-hatch birds were challenged with our NE experimental disease model, body weights, intestinal lesions, serum antibody levels to NetB, and proinflammatory cytokine and chemokine mRNA levels in intestinal intraepithelial lymphocytes were measured. Results: Chickens in ovo vaccinated with recombinant profilin plus NetB proteins/IMS106 and recombinant profilin plus NetB proteins/IMS101 showed significantly increased body weight gains and reduced gut damages compared with the profilin-only group, respectively. Greater antibody response to NetB toxin were observed in the profilin plus NetB/IMS 106, and profilin plus NetB/IMS 101 groups compared with the other three vaccine/adjuvant groups. Finally, diminished levels of transcripts encoding for proinflammatory cytokines such as lipopolysaccharide-induced tumor necrosis $factor-{\alpha}$ factor, tumor necrosis factor superfamily 15, and interleukin-8 were observed in the intestinal lymphocytes of chickens in ovo injected with profilin plus NetB toxin in combination with IMS 106, and profilin plus NetB toxin in combination with IMS 101 compared with profilin protein alone bird. Conclusion: These results suggest that the Montanide IMS adjuvants potentiate host immunity to experimentally-induced avian NE when administered in ovo in conjunction with the profilin and NetB proteins, and may reduce disease pathology by attenuating the expression of proinflammatory cytokines and chemokines implicated in disease pathogenesis.